Lee Kheng Hock, Lee Chien Earn
Duke-NUS Medical School, Singapore, Singapore.
Singhealth Community Hospitals, Singapore, Singapore.
Front Med (Lausanne). 2025 Jul 17;12:1464699. doi: 10.3389/fmed.2025.1464699. eCollection 2025.
This paper explores the co-evolution of theoretical paradigms and care models within health and social care through the lens of complexity science. It argues that this co-evolution, characterized by a dynamic interplay between abstract principles and tangible practices, propels health systems toward greater human-centeredness and interconnectedness. Theories, acting as "attractors," shape the landscape of possible care models, while the implementation and evaluation of these models, in turn, refine theoretical understanding. This continuous feedback loop, driven by emergent properties within the complex system of healthcare, fosters a dynamic evolution toward more holistic and effective care. The paper proposes a unifying framework to understand this ongoing process, emphasizing the interconnectedness of individual, community, and societal well-being. While further research is needed to validate this conceptual framework, it offers a valuable lens for analyzing historical trends and guiding future developments in health and social care.
本文通过复杂性科学的视角，探讨了健康与社会护理领域中理论范式与护理模式的共同演变。文章认为，这种以抽象原则与具体实践之间的动态相互作用为特征的共同演变，推动卫生系统朝着更加以人为本和相互关联的方向发展。理论作为“吸引子”，塑造了可能的护理模式格局，而这些模式的实施和评估反过来又完善了理论理解。在医疗保健复杂系统中由涌现特性驱动的这种持续反馈循环，促进了朝着更全面、更有效的护理方向的动态演变。本文提出了一个统一框架来理解这一持续过程，强调个人、社区和社会福祉的相互关联性。虽然需要进一步研究来验证这一概念框架，但它为分析历史趋势以及指导健康与社会护理的未来发展提供了一个有价值的视角。
